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https://www.readbyqxmd.com/read/27771338/tools-for-assessment-of-communication-skills-of-hospital-action-teams-a-systematic-review
#1
Shady A Rehim, Stephanie DeMoor, Richard Olmsted, Daniel L Dent, Jessica Parker-Raley
BACKGROUND: Hospital action teams comprise interdisciplinary health care providers working simultaneously to treat critically ill patients. Assessments designed to evaluate communication effectiveness or "nontechnical" performance of these teams are essential to minimize medical errors and improve team productivity. Although multiple communication tools are available, the characteristics and psychometric validity of these instruments have yet to be systematically compared. OBJECTIVE: To identify assessments used to evaluate the communication or "nontechnical" performance of hospital action teams and summarize evidence to develop and validate these instruments...
October 19, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27738573/emergency-medicine-in-remote-regions
#2
Tia Renouf, Megan Pollard
Rural and remote places like Sable Island (Nova Scotia) or François (Newfoundland) pose a challenge in delivering both health care and appropriate education that today's learners need to practice in a rural setting. This education can be difficult to deliver to students far from academic centers. This is especially true for learners and practitioners at offshore locations like ships, oil installations, or in the air when patients are transported via fixed wing aircraft or helicopter. The following editorial provides a snapshot of the setting and the challenges faced while working as a physician on a ship, in remote regions...
September 9, 2016: Curēus
https://www.readbyqxmd.com/read/27627340/wake-sleep-transition-as-a-noisy-bifurcation
#3
Dong-Ping Yang, Lauren McKenzie-Sell, Angela Karanjai, P A Robinson
A recent physiologically based model of the ascending arousal system is used to analyze the dynamics near the transition from wake to sleep, which corresponds to a saddle-node bifurcation at a critical point. A normal form is derived by approximating the dynamics by those of a particle in a parabolic potential well with dissipation. This mechanical analog is used to calculate the power spectrum of fluctuations in response to a white noise drive, and the scalings of fluctuation variance and spectral width are derived versus distance from the critical point...
August 2016: Physical Review. E
https://www.readbyqxmd.com/read/27492568/a-versatile-modular-bioreactor-platform-for-tissue-engineering
#4
Sebastian Schuerlein, Thomas Schwarz, Steffan Krziminski, Sabine Gätzner, Anke Hoppensack, Ivo Schwedhelm, Matthias Schweinlin, Heike Walles, Jan Hansmann
Tissue Engineering (TE) bears potential to overcome the persistent shortage of donor organs in transplantation medicine. Additionally, TE products are applied as human test systems in pharmaceutical research to close the gap between animal testing and the administration of drugs to human subjects in clinical trials. However, generating a tissue requires complex culture conditions provided by bioreactors. Currently, the translation of TE technologies into clinical and industrial applications is limited due to a wide range of different tissue-specific, non-disposable bioreactor systems...
August 5, 2016: Biotechnology Journal
https://www.readbyqxmd.com/read/27379221/transportation-of-critically-ill-patients-on-extracorporeal-membrane-oxygenation
#5
REVIEW
L Mikael Broman, Björn Frenckner
Extracorporeal membrane oxygenation (ECMO) may be a life-saving procedure for patients with severe reversible pulmonary or cardiac failure or for patients in need for a bridge to transplantation. ECMO is provided by specialized centers, but patients in need of ECMO are frequently taken care of at other centers. Conventional transports to an ECMO center can be hazardous and deaths have been described. For this reason, many ECMO centers have developed transport programs with mobile ECMO. After request, the mobile team including all necessary equipment to initiate ECMO is sent to the referring hospital, where the patient is cannulated and ECMO commenced...
2016: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/27057583/the-creation-of-a-biocontainment-unit-at-a-tertiary-care-hospital-the-johns-hopkins-medicine-experience
#6
Brian T Garibaldi, Gabor D Kelen, Roy G Brower, Gregory Bova, Neysa Ernst, Mallory Reimers, Ronald Langlotz, Anatoly Gimburg, Michael Iati, Christopher Smith, Sally MacConnell, Hailey James, John J Lewin, Polly Trexler, Meredith A Black, Chelsea Lynch, William Clarke, Mark A Marzinke, Lori J Sokoll, Karen C Carroll, Nicole M Parish, Kim Dionne, Elizabeth L D Biddison, Howard S Gwon, Lauren Sauer, Peter Hill, Scott M Newton, Margaret R Garrett, Redonda G Miller, Trish M Perl, Lisa L Maragakis
In response to the 2014-2015 Ebola virus disease outbreak in West Africa, Johns Hopkins Medicine created a biocontainment unit to care for patients infected with Ebola virus and other high-consequence pathogens. The unit team examined published literature and guidelines, visited two existing U.S. biocontainment units, and contacted national and international experts to inform the design of the physical structure and patient care activities of the unit. The resulting four-bed unit allows for unidirectional flow of providers and materials and has ample space for donning and doffing personal protective equipment...
May 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/26955943/non-technical-skills-evaluation-in-the-critical-care-air-ambulance-environment-introduction-of-an-adapted-rating-instrument-an-observational-study
#7
Julia A Myers, David M C Powell, Alex Psirides, Karyn Hathaway, Sarah Aldington, Michael F Haney
BACKGROUND: In the isolated and dynamic health-care setting of critical care air ambulance transport, the quality of clinical care is strongly influenced by non-technical skills such as anticipating, recognising and understanding, decision making, and teamwork. However there are no published reports identifying or applying a non-technical skills framework specific to an intensive care air ambulance setting. The objective of this study was to adapt and evaluate a non-technical skills rating framework for the air ambulance clinical environment...
2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/26955878/nanotechnology-for-the-environment-and-medicine
#8
Patrizia Formoso, Rita Muzzalupo, Lorena Tavano, Giovanni De Filpo, Fiore Pasquale Nicoletta
Nanotechnology encompasses the production and applications of physical, chemical, and biological systems at scales ranging from individual atoms or molecules to around 100 nanometres, as well as the integration of the resulting nanostructures into larger systems. Nanomaterials differ from bulk materials for their relatively larger surface-area-to-mass ratio, consequently they become more chemically reactive and can show different optical, magnetic and electrical behaviours. In recent years, engineered nanomaterials have gained a particular attention in some fields such as environmental protection (soil, air and water remediation/treatment) and medicine (bio-sensing, imaging, and drug delivery)...
2016: Mini Reviews in Medicinal Chemistry
https://www.readbyqxmd.com/read/26926476/using-drugs-to-probe-the-variability-of-trans-epithelial-airway-resistance
#9
Kendra Tosoni, Diane Cassidy, Barry Kerr, Stephen C Land, Anil Mehta
BACKGROUND: Precision medicine aims to combat the variability of the therapeutic response to a given medicine by delivering the right medicine to the right patient. However, the application of precision medicine is predicated on a prior quantitation of the variance of the reference range of normality. Airway pathophysiology provides a good example due to a very variable first line of defence against airborne assault. Humans differ in their susceptibility to inhaled pollutants and pathogens in part due to the magnitude of trans-epithelial resistance that determines the degree of epithelial penetration to the submucosal space...
2016: PloS One
https://www.readbyqxmd.com/read/26895306/a-stochastic-model-of-carbon-nanotube-deposition-in-the-airways-and-alveoli-of-the-human-respiratory-tract
#10
Robert Sturm
CONTEXT: In the past two decades, possible exposure of workers to nanoparticles has excited the attention of occupational medicine, resulting in the conception of related risk assessments. Although most nanoparticles have been categorized as hazardous substances in the meantime, their behavior in the human respiratory tract still bears some enigmas, which require clarification. OBJECTIVES: The study pursues the goal to provide detailed theoretical lung deposition data of carbon nanotubes (CNT) with various diameters and lengths...
2016: Inhalation Toxicology
https://www.readbyqxmd.com/read/26842343/an-overview-of-occupational-risks-from-climate-change
#11
REVIEW
Katie M Applebaum, Jay Graham, George M Gray, Peter LaPuma, Sabrina A McCormick, Amanda Northcross, Melissa J Perry
Changes in atmosphere and temperature are affecting multiple environmental indicators from extreme heat events to global air quality. Workers will be uniquely affected by climate change, and the occupational impacts of major shifts in atmospheric and weather conditions need greater attention. Climate change-related exposures most likely to differentially affect workers in the USA and globally include heat, ozone, polycyclic aromatic hydrocarbons, other chemicals, pathogenic microorganisms, vector-borne diseases, violence, and wildfires...
March 2016: Current Environmental Health Reports
https://www.readbyqxmd.com/read/26700302/portrait-of-rural-emergency-departments-in-qu%C3%A3-bec-and-utilization-of-the-provincial-emergency-department-management-guide-cross-sectional-survey
#12
Richard Fleet, Julien Poitras, Patrick Archambault, Fatoumata Korika Tounkara, Jean-Marc Chauny, Mathieu Ouimet, Josée Gauthier, Gilles Dupuis, Alain Tanguay, Jean-Frédéric Lévesque, Geneviève Simard-Racine, Jeannie Haggerty, France Légaré
BACKGROUND: Rural emergency departments (EDs) constitute crucial safety nets for the 20% of Canadians who live in rural areas. Pilot data suggests that the province of Québec appears to provide more comprehensive access to services than do other provinces. A difference that may be attributable to provincial policy/guidelines "the provincial ED management Guide". The aim of this study was to provide a detailed description of rural EDs in Québec and utilization of the provincial ED management Guide...
2015: BMC Health Services Research
https://www.readbyqxmd.com/read/26482350/the-role-of-medical-air-rescue-services-in-medical-transport-of-organ-recipients-in-poland-organizational-solutions-supporting-transplantation-medicine
#13
Robert Gałązkowski, Agata Pawlak, Daniel Rabczenko, Grzegorz Michalak, Michał M Farkowski, Roman Danielewicz, Maciej Sterliński
BACKGROUND: The aim of this study was to analyze the use of fixed-wing air ambulance (FWAA) services in Poland during the period 2012-2013, with particular emphasis on air transport of organ recipients to transplantation centers. MATERIAL AND METHODS: This was a retrospective, cross-sectional analysis of data derived from standard FWAA medical documentation. RESULTS: In the years 2012-2013 there were 500 emergency (52.7%) and 447 elective (47...
2015: Annals of Transplantation: Quarterly of the Polish Transplantation Society
https://www.readbyqxmd.com/read/26334607/guidelines-for-the-management-of-a-pregnant-trauma-patient
#14
Venu Jain, Radha Chari, Sharon Maslovitz, Dan Farine, Emmanuel Bujold, Robert Gagnon, Melanie Basso, Hayley Bos, Richard Brown, Stephanie Cooper, Katy Gouin, N Lynne McLeod, Savas Menticoglou, William Mundle, Christy Pylypjuk, Anne Roggensack, Frank Sanderson
OBJECTIVE: Physical trauma affects 1 in 12 pregnant women and has a major impact on maternal mortality and morbidity and on pregnancy outcome. A multidisciplinary approach is warranted to optimize outcome for both the mother and her fetus. The aim of this document is to provide the obstetric care provider with an evidence-based systematic approach to the pregnant trauma patient. OUTCOMES: Significant health and economic outcomes considered in comparing alternative practices...
June 2015: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/26291721/science-of-water-leaks-validated-theory-for-moisture-flow-in-microchannels-and-nanochannels
#15
Wenwen Lei, Nicole Fong, Yongbai Yin, Martin Svehla, David R McKenzie
Water is ubiquitous; the science of its transport in micro- and nanochannels has applications in electronics, medicine, filtration, packaging, and earth and planetary science. Validated theory for water vapor and two-phase water flows is a "missing link"; completing it enables us to define and quantify flow in a set of four standard leak configurations with dimensions from the nanoscale to the microscale. Here we report the first measurements of water vapor flow rates through four silica microchannels as a function of humidity, including under conditions when air is present as a background gas...
October 27, 2015: Langmuir: the ACS Journal of Surfaces and Colloids
https://www.readbyqxmd.com/read/26242663/description-of-an-internal-medicine-outreach-consultant-appointment-in-western-kwazulu-natal-south-africa-2007-to-mid-2014
#16
Robert Ian Caldwell, Bernhard Gaede, Colleen Aldous
BACKGROUND: . This study is a description of an Internal Medicine outreach appointment in western KwaZulu-Natal (KZN) from 2007 to mid-2014, facilitated by the transport services of the Red Cross Air Mercy Service (AMS) and funded by the KZN-Department of Health (KZN-DOH). The hospital visits represented 'multifaceted' as opposed to 'simple' outreach. METHODS: The AMS database of outreach visits was analysed according to frequencies of visits, number of patient contacts and number of contacts with medical personnel...
May 2015: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/26232504/traveling-with-children-beyond-car-seat-safety
#17
REVIEW
Janaina Borges Polli, Ismael Polli
OBJECTIVE: To spread knowledge and instigate the health professional to give advice on childcare during travels and on child transport safety. SOURCES OF DATA: Literature review through the LILACS and MEDLINE(®) databases, using the terms: travel, safety, protective equipment, child, preventive medicine, retrieving articles published in the last 21 years. SUMMARY OF THE FINDINGS: The authors analyzed 93 articles, of which 66 met the inclusion criteria after summaries were read...
November 2015: Jornal de Pediatria
https://www.readbyqxmd.com/read/26160033/the-stockholm-experience-interhospital-transports-on-extracorporeal-membrane-oxygenation
#18
L Mikael Broman, Bernhard Holzgraefe, Kenneth Palmér, Björn Frenckner
INTRODUCTION: In severe respiratory and/or circulatory failure, extracorporeal membrane oxygenation (ECMO) may be a lifesaving procedure. Specialized departments provide ECMO, and these patients often have to be transferred for treatment. Conventional transportation is hazardous, and deaths have been described. Only a few centers have performed more than 100 ECMO transports. To date, our mobile ECMO teams have performed more than 700 transports with patients on ECMO since 1996. We describe 4 consecutive years (2010-2013) of 322 national and international ECMO transports and report adverse events...
2015: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/26156547/nanotechnology-for-the-environment-and-medicine
#19
Patrizia Formoso, Rita Muzzalupo, Lorena Tavano, Giovanni De Filpo, Fiore Pasquale Nicoletta
Nanotechnology encompasses the production and applications of physical, chemical, and biological systems at scales ranging from individual atoms or molecules to around 100 nanometres, as well as the integration of the resulting nanostructures into larger systems. Nanomaterials differ from bulk materials for their relatively larger surface-area-to-mass ratio, consequently they become more chemically reactive and can show different optical, magnetic and electrical behaviours. In recent years, engineered nanomaterials have gained a particular attention in some fields such as environmental protection (soil, air and water remediation/treatment) and medicine (bio-sensing, imaging, and drug delivery)...
July 8, 2015: Mini Reviews in Medicinal Chemistry
https://www.readbyqxmd.com/read/25971454/-exercise-scenario-of-a-highly-contagious-life-threatening-disease-in-intercontinental-aviation-a-case-report-in-the-context-of-the-international-health-regulations-ihr
#20
Heribert Stich, W Guggemos, A Mühlhaus, B Wicklein, J Dietl, A Hoffmann, J Leiwering, D Frangoulidis, S Zange, B Königstein, S Ippisch
BACKGROUND: The International Health Regulations (IHR) 2005 were conformed to German law on July 20, 2007 and described in detail by the Implementing Act (IHR DG). According to these legal bases, "designated airports" must maintain special capacities for protection against health threats, and are also responsible for performing regular IHR exercises. OBJECTIVES: Representation of the optimization of established operational concepts of various professions to manage infectious biological threats without obstruction of international travel, and mediation of experience to IHR professionals...
July 2015: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
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